scholarly journals Shackled Bodies, Unchained Minds: Lunatic Asylums in the Bombay Presidency 1793-1921

2021 ◽  
Author(s):  
◽  
Sarah Ann Pinto

<p>Lunatic asylums in the Bombay Presidency were characteristically custodial. In 1793, the government sanctioned the building of the first asylum in the Presidency. During the nineteenth century, they built more asylums, adding to their number. However, by the early twentieth century, these asylums remained mere ‘lock-ups’ for those deemed dangerous to society. Lunacy administration, as one superintendent noted, was the veritable Cinderella in the family of colonial institutions. In terms of the public use of asylums by Indians, in 1905 the total patient population of the asylums in the Bombay Presidency stood only at 1203 patients. This was a meagre number compared to the asylum patient population in Britain. The poor admission numbers baffled both the government and the Indian press.  This thesis argues that the colonial lunatic asylum did not assimilate into Indian society and therefore remained a failed colonial-medical enterprise. Colonial agencies attributed the poor quality of asylum treatment practices to ‘native apathy’ in matters of mental health, and the low admission numbers to ‘less-brain energy’ of Indians. Eduardo Duran has argued that colonial institutions, because of their lack of cultural competence, inflicted historical traumas on indigenous people; historical traumas affect people on three levels: physical, psychological, and spiritual. The thesis contends that Indian ‘apathy’ was a mere reaction to the historical traumas caused by the asylum system.  The thesis accounts for these historical traumas. The first chapter argues that the lunatic asylum contended with two intrinsic characteristics of Indian society - its integrated spiritual-somatic understanding of insanity and its close family ties. The ‘apathy’ of the Indian population towards the asylum system, then, was a reaction to the wounds caused by the colonial undermining of Indian worldviews, medical knowledge, and socio-cultural practices. In the second chapter, the thesis proceeds to examine the colonial-local encounters within the asylum system. These encounters reveal the character of the lunatic asylum as a colonial middle ground. While the government, judiciary and asylum staff executed various forms of control over patients, they failed to achieve colonial hegemony in the lunatic asylums. The third and fourth chapters examine treatment practices and the asylum soundscape as evidence of its failure as a medical institution. Over the nineteenth and twentieth centuries, asylum treatment methods remained largely primitive - revolving around clothing, feeding and keeping patients occupied. Such treatment methods reflected the custodial character of Bombay’s asylum system. The custodial nature was also evident in the asylum soundscape or aural environment. Asylum staff did not succeed in regulating and regimenting the asylum soundscape unlike other asylums around the world because of monetary and spatial constraints. In the final chapter, the thesis proceeds to examine the local community’s understanding of the asylum system. For local communities, the lunatic asylum was a place of ‘insulation, mystery and darkness’ - a perception that kept them away from its use.  Extensive archival research in India and Britain, in institutions such as the Maharashtra State Archives, National Archives of India, and British Library, where primary sources such as government proceedings, case notes, asylum general rules, annual reports along with local newspapers and patient letters were collected and analysed in this investigation. Hospital records and photographs, taken at the mental hospitals at Thana and Ratnagiri, corroborated other primary sources. The thesis examines the lunatic asylums in the Bombay Presidency from its establishment in 1793 to 1921, after which the government changed the designation ‘lunatic asylum’ to ‘mental hospital’.  The thesis does not aim to examine colonial motivations in establishing the lunatic asylum since colonial agencies had heterogeneous views on the purpose of the asylum. Rather, it assesses the Indian experience as it encountered a colonial medical institution. In analysing the impact of the asylum system, the thesis seeks to explain the aversion of Indian families to the asylum. This aversion is evident in Indian society even today, and so is the custodial character of mental hospitals in Maharashtra. An awareness of the historical traumas associated with such institutions can help mental health practitioners, policy makers and Indian society invent better ways to help people suffering from mental illness.</p>

2021 ◽  
Author(s):  
◽  
Sarah Ann Pinto

<p>Lunatic asylums in the Bombay Presidency were characteristically custodial. In 1793, the government sanctioned the building of the first asylum in the Presidency. During the nineteenth century, they built more asylums, adding to their number. However, by the early twentieth century, these asylums remained mere ‘lock-ups’ for those deemed dangerous to society. Lunacy administration, as one superintendent noted, was the veritable Cinderella in the family of colonial institutions. In terms of the public use of asylums by Indians, in 1905 the total patient population of the asylums in the Bombay Presidency stood only at 1203 patients. This was a meagre number compared to the asylum patient population in Britain. The poor admission numbers baffled both the government and the Indian press.  This thesis argues that the colonial lunatic asylum did not assimilate into Indian society and therefore remained a failed colonial-medical enterprise. Colonial agencies attributed the poor quality of asylum treatment practices to ‘native apathy’ in matters of mental health, and the low admission numbers to ‘less-brain energy’ of Indians. Eduardo Duran has argued that colonial institutions, because of their lack of cultural competence, inflicted historical traumas on indigenous people; historical traumas affect people on three levels: physical, psychological, and spiritual. The thesis contends that Indian ‘apathy’ was a mere reaction to the historical traumas caused by the asylum system.  The thesis accounts for these historical traumas. The first chapter argues that the lunatic asylum contended with two intrinsic characteristics of Indian society - its integrated spiritual-somatic understanding of insanity and its close family ties. The ‘apathy’ of the Indian population towards the asylum system, then, was a reaction to the wounds caused by the colonial undermining of Indian worldviews, medical knowledge, and socio-cultural practices. In the second chapter, the thesis proceeds to examine the colonial-local encounters within the asylum system. These encounters reveal the character of the lunatic asylum as a colonial middle ground. While the government, judiciary and asylum staff executed various forms of control over patients, they failed to achieve colonial hegemony in the lunatic asylums. The third and fourth chapters examine treatment practices and the asylum soundscape as evidence of its failure as a medical institution. Over the nineteenth and twentieth centuries, asylum treatment methods remained largely primitive - revolving around clothing, feeding and keeping patients occupied. Such treatment methods reflected the custodial character of Bombay’s asylum system. The custodial nature was also evident in the asylum soundscape or aural environment. Asylum staff did not succeed in regulating and regimenting the asylum soundscape unlike other asylums around the world because of monetary and spatial constraints. In the final chapter, the thesis proceeds to examine the local community’s understanding of the asylum system. For local communities, the lunatic asylum was a place of ‘insulation, mystery and darkness’ - a perception that kept them away from its use.  Extensive archival research in India and Britain, in institutions such as the Maharashtra State Archives, National Archives of India, and British Library, where primary sources such as government proceedings, case notes, asylum general rules, annual reports along with local newspapers and patient letters were collected and analysed in this investigation. Hospital records and photographs, taken at the mental hospitals at Thana and Ratnagiri, corroborated other primary sources. The thesis examines the lunatic asylums in the Bombay Presidency from its establishment in 1793 to 1921, after which the government changed the designation ‘lunatic asylum’ to ‘mental hospital’.  The thesis does not aim to examine colonial motivations in establishing the lunatic asylum since colonial agencies had heterogeneous views on the purpose of the asylum. Rather, it assesses the Indian experience as it encountered a colonial medical institution. In analysing the impact of the asylum system, the thesis seeks to explain the aversion of Indian families to the asylum. This aversion is evident in Indian society even today, and so is the custodial character of mental hospitals in Maharashtra. An awareness of the historical traumas associated with such institutions can help mental health practitioners, policy makers and Indian society invent better ways to help people suffering from mental illness.</p>


1897 ◽  
Vol 43 (182) ◽  
pp. 672-673

The President of the Local Government Board received a deputation from the County Councils Association in reference to the growing burden imposed upon the rates by the increase of the number of persons confined in lunatic asylums. The deputation consisted of Sir John Hibbert, Lord Thring, Mr. Hobhouse, M.P., Sir E. Edgeumbe (Dorset), Mr. M. F. Blackiston (Clerk to the Staffordshire County Council), Mr. F. C. Hulton (Clerk to the Lancashire County Council), Mr. C. B. Hodgson (Clerk to the Cumberland County Council), Mr. Trevor Edwards (Solicitor to the West Riding County Council), and the Rev C. Royds, Mr. J. Brierley, Mr. B. Carver, and Mr. T. Scholfield, members of the Lancashire Asylums Board. The deputation recommended that the grant of 4s. a week at present given to Boards of Guardians to pay for pauper lunatics in County Asylums, Registered Hospitals, and Licensed Houses should also be given for chronic pauper lunatics (whom they defined as harmless lunatics), who are maintained in workhouse wards under special regulations and to the satisfaction of the Commissioners in Lunacy; that, as it is not desirable that idiots (idiots and imbeciles from birth or early age) should be treated in a lunatic asylum, the 4s. grant should, wherever idiots are kept at the public expense, be payable in regard to such idiots to the authority maintaining them to the satisfaction of the Commissioners in Lunacy; that each County Council should be required to appoint visitors of those idiots in respect of whom the 4s. grant is made, and who are kept in places other than lunatic asylums; and that it is not desirable to express an opinion on the question of extending the 4s. grant to idiots boarded out or maintained at home. Mr. Chaplin, in reply, said he was not prepared to give a definite answer as to whether he could advise the Government to bring in a Bill to give effect to the recommendations. He required time to consider the matter more fully, and especially to enquire how the Boards of Guardians throughout the country would be affected if the proposals of the County Councils Association became law.


2019 ◽  
Vol 35 (2) ◽  
pp. 255-281
Author(s):  
Sylvia Dümmer Scheel

El artículo analiza la diplomacia pública del gobierno de Lázaro Cárdenas centrándose en su opción por publicitar la pobreza nacional en el extranjero, especialmente en Estados Unidos. Se plantea que se trató de una estrategia inédita, que accedió a poner en riesgo el “prestigio nacional” con el fin de justificar ante la opinión pública estadounidense la necesidad de implementar las reformas contenidas en el Plan Sexenal. Aprovechando la inusual empatía hacia los pobres en tiempos del New Deal, se construyó una imagen específica de pobreza que fuera higiénica y redimible. Ésta, sin embargo, no generó consenso entre los mexicanos. This article analyzes the public diplomacy of the government of Lázaro Cárdenas, focusing on the administration’s decision to publicize the nation’s poverty internationally, especially in the United States. This study suggests that this was an unprecedented strategy, putting “national prestige” at risk in order to explain the importance of implementing the reforms contained in the Six Year Plan, in the face of public opinion in the United States. Taking advantage of the increased empathy felt towards the poor during the New Deal, a specific image of hygienic and redeemable poverty was constructed. However, this strategy did not generate agreement among Mexicans.


Think India ◽  
2019 ◽  
Vol 22 (3) ◽  
pp. 772-779
Author(s):  
T.Vinsela Jeev

During the DMK regime many welfare schemes for implemented for women especially. This schemes for developments for socio and economic activities for women. The poor women, widows, physically challenged were benefited their schemes. The government allotted lot of sewing machines, Free school books, Midday meal schemes, Small scale Industry, Self help groups, Boating supply for fisher mans and many women teachers were appointed in Elementary school, Middle school, High schools. Women’s were appointed in police Department and also so many schemes for the development of socio and economic condition of the poor women people.


2018 ◽  
Vol 9 (2) ◽  
pp. 60
Author(s):  
Kamlesh Kumar Sahu

Psychiatric Social Work teaching has completed seven decades in India which was started with master course in medical and psychiatric social work at Tata Institute of Social Sciences, Mumbai in 1948 followed by various schools of social work across the country but unfortunately even after two year full time or part time course they are not counted as a mental health professional; still they need two more years of specialized training in mental health as Master of Philosophy in Psychiatric Social Work (M.Phil. PSW) which was offered in just a few institutions. Recently the Government of India formulated manpower development schemes under the national mental health programme to address the shortage of men power in mental health. Under this scheme, 25 centre of excellence in mental health are already stabilised and various post graduate departments were upgraded and M.Phil. PSW course is started or will be started. This figure is in raise in Government intuitions and few private institutions also. The prominence of social work in mental health is expected to enhance by this effort as highly trained social workers will be available to practice in the mental health field but there are some challenges to overcome to get the maximum outcome from this opportunity to expand.    Keywords:Psychiatric social work, mental health, men power development, India  Â


2020 ◽  
Author(s):  
Joseph Bulbulia ◽  
Sofia Piven ◽  
Fiona Barlow ◽  
Don E. Davis ◽  
Lara Greaves ◽  
...  

New Zealand's COVID-19 lockdown in March and April 2020 was among the world's most stringent. Similar to other countries, New Zealand's lockdown occurred amidst pervasive health and economic uncertainties. However, New Zealanders experienced comparatively less psychological distress. To test theories of pandemic distress mitigation, we use national longitudinal responses with pre-COVID-19 baselines and systematically quantify psychological distress trajectories within the same individuals during the lockdown (pre-COVID-19 = 2018/2019; stringent-lockdown = March/April 2020; N = 940). Most distress indicators were minimally elevated. However, there was a three-fold increase in feelings of worthlessness. Neither satisfaction with the government, nor business-satisfaction, nor a sense of neighbourhood community were effective distress defences. Perceived social-belonging and health-satisfaction mitigated feelings of worthlessness. A silver lining was a relief from feelings of effort, which social-belonging fostered. That social-belonging and health satisfaction could quell serious distress among those low in government confidence, low in business satisfaction, and low neighbourhood community proves that distress mitigation is possible without shifting a population's general political, economic, and civic attitudes. Protection of income and containment of infectious disease threat reduces mental health burdens. Though feelings of worthlessness surge during lockdown, such feelings attenuate from interpersonal belonging with people one already knows.


2021 ◽  
pp. 009614422198997
Author(s):  
Marianna Charitonidou

The article presents the reasons for which the issue of providing housing to low-income citizens has been a real challenge in Addis Ababa during the recent years and will continue to be, given that its population is growing extremely fast. It examines the tensions between the universal aspirations and the local realities in the case of some of Ethiopia’s most ambitious mass pro-poor housing schemes, such as the “Addis Ababa Grand Housing Program” (AAGHP), which was launched in 2004 and was integrated in the “Integrated Housing Development Program” (IHDP) in 2006. The article argues that the quotidian practices of communities and their socio-economic and cultural characteristics are related to the spatial attributes of co-housing practices. Drawing upon the idea that there is a mutual correspondence between social and spatial structures, it places particular emphasis on the analysis of the IHDP and aims to show that to shape strategies that take into account the social and cultural aspects of daily life of the poor citizens of Addis Ababa, it is pivotal to invite them to take part in the decision-making processes regarding their resettlement. Departing from the fact that a large percentage of the housing supply in Addis Ababa consists of informal unplanned housing, the article also compares the commoning practices in kebele houses and condominium units. The former refers to the legal informal housing units owned by the government and rented to their dwellers, whereas the latter concerns the housing blocks built in the framework of the IHDP for the resettlement of the kebele dwellers. The article analyzes these processes of resettlement, shedding light of the fact that kebele houses were located at the inner city, whereas the condominiums are located in the suburbs. Despite the fact that the living conditions in the condominium units are of a much higher quality than those in the kebele houses, their design underestimated or even neglected the role of the commoning practices. The article highlights the advantages of commoning practices in architecture and urban planning, and how the implementation of participation-oriented solutions can respond to the difficulties of providing housing. It argues that understanding the significance of the endeavors that take into account the opinions of dwellers during the phase of decision-making goes hand in hand with considering commoning practices as a source of architecture and urban planning frameworks for low-cost housing in this specific context. The key argument of the article is that urban planning and architecture solutions in Addis Ababa should be based on the principles of the so-called “negotiated planning” approach, which implies a close analysis of the interconnections between planning, infrastructure, and land.


2020 ◽  
pp. 002076402096812
Author(s):  
Maiko Fukasawa ◽  
Norito Kawakami ◽  
Maki Umeda ◽  
Tsuyoshi Akiyama ◽  
Naoko Horikoshi ◽  
...  

Background: Distrust in authorities has negative effects on mental health. Aims: In this study, we aimed to explore whether the impact of distrust in government on mental health became stronger in the area heavily affected by the 2011 Fukushima nuclear power plant accident. Methods: We examined the effects of distrust in the national government on depressive symptoms three years after the accident among community residents in Fukushima prefecture using those in the Kanto area (the area surrounding Tokyo) as a control. A questionnaire survey was administered to a random sample of 1000 residents in Fukushima prefecture and 1650 residents in the Kanto area. Distrust in the national government was assessed using a four-point single-item scale. Depressive symptoms were measured using the Patient Health Questionnaire-9. The associations of residential area (i.e. living in Fukushima prefecture or in the Kanto area) and distrust in the national government with depressive symptoms were examined, controlling for socio-demographic characteristics and disaster-related experiences using multivariate linear regression analyses. We used the interaction term of residential area and distrust in the government to explore the difference in the association between the respondents in Fukushima prefecture and those in the Kanto area. Results: Valid responses were obtained from 976 (36.8%) residents. Distrust in the government was associated with depressive symptoms and the association was stronger in Fukushima prefecture than in the Kanto area. Conclusion: The deleterious effects of distrust in the government on mental health may become more serious after a nuclear power plant accident and require careful attention during support activities in an affected area.


Author(s):  
Manuel García-Goñi ◽  
Alexandrina P. Stoyanova ◽  
Roberto Nuño-Solinís

Background: Mental illness, multi-morbidity, and socio-economic inequalities are some of the main challenges for the public health system nowadays, and are further aggravated by the process of population aging. Therefore, it is widely accepted that health systems need to focus their strategies for confronting such concerns. With guaranteed access to health care services under universal coverage in many health systems, it is expected that all services be provided equally to patients with the same level of need. Methods: In this paper, we explore the existence of inequalities in the access to services of patients with mental illness taking into account whether they are multimorbid patients, their socioeconomic status, and their age. We take advantage of a one-year (2010–2011) database on individual healthcare utilization and expenditures for the total population (N = 2,262,698) of the Basque Country. Results: More comorbidity leads to greater inequality in prevalence, being the poor sicker, although with age, this inequality decreases. All health services are more oriented towards greater utilization of the poor and sicker, particularly in the case of visits to specialists and emergency care. Conclusions: Mental health inequalities in prevalence have been identified as being disproportionally concentrated in the least affluent areas of the Basque Country. However, inequalities in the utilization of publicly-provided health services present a pro-poor orientation. As this region has adopted a system-wide transformation towards integrated care, its mental health delivery model offers excellent potential for international comparisons and benchlearning.


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